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Complex Reprogramming Of An Implanted Nerve Stimulator

Arizona rates for HCPCS 95972

This service involves a detailed, in-depth session to check and adjust the settings of an implanted device that sends electrical pulses to the spinal cord or a peripheral nerve, most often used to manage chronic pain. It involves more extensive adjustment than a basic check, such as reconfiguring multiple settings to fine-tune symptom relief. It's performed by a trained clinician using an external programming device, without any incision.

Rates data updated July 2026.

How much does Complex Reprogramming Of An Implanted Nerve Stimulator cost?

$53.70

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $79.43 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$52.48$41.69 to $77.62
FacilityA hospital or hospital-owned outpatient department$79.43$51.29 to $186

How much rates vary

Facilitymedian $79 · 10th to 90th $40 to $437Professionalmedian $52 · 10th to 90th $36 to $112
$50$100$200$500facility $79professional $52

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$52.48
Typical High
$109.65
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$43.65
Typical High
$54.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$346.74
Typical High
$645.65
BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$52.48
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$79.43
Typical High
$138.04
Medica
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$57.54
Typical High
$123.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$112.20
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$75.86
Typical High
$125.89

Where Arizona sits

The same service costs 1.9 times more in Rhode Island than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Arizona· 49th of 51

$53.70

RI $95.50DC $51.29

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.